Dr Barnfield & Partners

Updated 30 September 2016

Dr Barnfield & Partners also known as Lordshill Health Centre is located in purpose built premises at Lordshill District Centre, Southampton, SO16 8HY. The practice is situated on the first floor of the building and there is a dentist on the ground floor. The practice entrance is approached from a long ramp which affords disabled access.

Dr Barnfield & Partners has an NHS General Medical Services contract to provide health services to approximately 10500 patients in and around Shirley, Southampton, and surrounding area. The practice covers a mixed urban rural population. Older patients account for the largest group of registered patients at the practice and the practice has 600 patients living in sheltered accommodation. The practice is placed in the fourth least deprived level of deprivation.

The practice is a training practice supporting two registrars and is a level two research practice.

The practice has seven, four male and three female, GP partners. The practice has three practice nurses and one healthcare assistant.

The clinical team are supported by a practice manager and IT and data quality manager and a team of 19 receptionists, administration support staff and cleaners.

The practice is open Monday to Friday 8:00am to 6:30pm. Phone lines are open from 8.00am to 6.30pm Monday to Friday (excluding public holidays). The practice closes for lunch between 12.30pm and 1.30pm.

GP appointments are available Monday to Friday between 8am to 12 noon and 4pm to 6pm. Nurse appointments are available Mondays to Fridays between 9am to 12.30pm and 2pm to 5.30pm.

Additional appointments for people who are unable to attend during normal surgery times are offered on:

Monday/Wednesday mornings - 7.30 – 8.00 am. Monday Evenings - 6.30 – 7.00 pm. Plus one Saturday morning in each month: 8.00 – 10.30 am.

The practice is open from 8.00am and appointments can be made in person by telephone or on-line. Patients are able to book appointments six weeks ahead. If there are no free appointments and the patients need is urgent, the receptionist will arrange for the patient to see a doctor as soon as possible. 48-hour appointments are available.

The practice offered online booking for appointments and requesting prescriptions.

The practice offered telephone consultation appointments with the GP or nurses which could be arranged via the reception team. The practice also offered home visits if required and appointments with the practice nurses if the patient felt they did not need to speak with a GP.

The practice has opted out of providing out-of-hours services to their own patients and refers them to the Out of Hours service via the NHS 111 service.

Updated 30 September 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Barnfield & Partners on 7 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

• Ensure that all policies are reviewed regularly.
• Follow up with the landlords to ensure that the toilet for use by patients with a disability is brought back into commission.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 30 September 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• 99% of patients with diabetes, on the register, who have had influenza vaccine in the preceding 1 August to 31 March (01/04/2014 to 31/03/2015) which is higher than the national average of 95%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 30 September 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• 95% of women aged 25-64 whose notes record that a cervical screening test has been performed in the preceding 5 years (01/04/2014 to 31/03/2015), which is comparable to the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives and health visitors.

Updated 30 September 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice has a health care assistant trained for the care of older patients.
• The practice had multi-disciplinary team meetings with other healthcare professionals to review the needs of older people and coordinated anticipatory care plans with out of hours and secondary care services to manage patients at the end of life.

Updated 30 September 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 30 September 2016

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• 96% of patients diagnosed with dementia that had their care reviewed in a face to face meeting in the last 12 months, which is higher to the national average at 84%.
• 96% of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record, in the preceding 12 months (01/04/2014 to 31/03/2015) which is higher than the national average of 89%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.
• The practice carried out advance care planning for patients living with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• Staff had a good understanding of how to support patients with mental health needs and those living with dementia.

Updated 30 September 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless patients and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.